DEPARTMENT OF INSURANCE

Affiliations

Name	Couvillion, Charlotte Nicole	DOIID	1215806	NAIC NPN	20390242

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	6/23/2023	7/31/2025
Active	Resident	Agent	Life	6/23/2023	7/31/2025
Active	Resident	Agent	Property	8/4/2022	7/31/2025
Active	Resident	Agent	Casualty	8/4/2022	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	9/9/2022	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	9/9/2022	12/19/2023
Active	American Modern Home Insurance Company	300791	Agent - Casualty	7/14/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	7/14/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/20/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/20/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2023	12/6/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/28/2023	12/6/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/28/2023	12/6/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/14/2023
Active	Bristol West Insurance Company	301655	Agent - Property	7/14/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/28/2023	12/6/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/13/2023
Active	Dairyland Insurance Company	301370	Agent - Property	7/13/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/14/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/1/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	7/1/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/1/2023
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	7/1/2023
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Casualty	9/9/2022	5/4/2023
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Property	9/9/2022	5/4/2023
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	6/30/2023
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	6/30/2023
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	7/1/2023
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	7/1/2023